Organization
KIM ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAI YOON KIM DDS, MSD (ORTHODONTIST)
(919) 601-0564
Entity
Organization
Contact information
Practice address
320 SYCAMORE AVE STE 60, VISTA, CA 92083-7797
(919) 601-0564
Mailing address
2850 EL CERRO CT APT 317, CARLSBAD, CA 92010-6715
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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